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Abstract(s)
Introdução: A Palliative Performance Scale é um dos instrumentos mais utilizados em Portugal e no mundo, nomeadamente, em termos de referenciação para as equipas de Cuidados Paliativos, como instrumento facilitador da comunicação ou na aferição de prognóstico. Objetivos: Validar psicometricamente a escala de avaliação do desempenho do doente em Cuidados Paliativos para a População Portuguesa. Metodologia: Estudo metodológico de validação psicométrica. A validação linguística fora previamente realizada por outra investigadora, enquanto atividade do Observatório Português dos Cuidados Paliativos. A população em estudo foi composta por doentes paliativos acompanhados por uma Equipa Intra-Hospitalar de Suporte em Cuidados Paliativos, em internamento ou em ambulatório, em momento de admissão ou, posteriormente, em seguimento, em 2021. Através de um processo de amostragem não probabilística e sequencial foi aplicada a escala, por dois observadores, a 105 doentes paliativos. Resultados: Foi testada, através do cálculo do kappa ponderado, a concordância entre os scores da escala aferidos por dois observadores para cada doente, tendo em conta a ordem de grandeza. O kappa ponderado obtido foi de 0,85. Discussão e Conclusão: O valor do kappa ponderado demonstrou uma boa concordância entre os scores concedidos pelos observadores na avaliação dos doentes paliativos, nomeadamente, em termos de ordem de grandeza, pelo que se conclui que a validação semântica desta escala para a população portuguesa apresenta adequadas características psicométricas.
Background: The Palliative Performance Scale is one of the most used tools in Portugal and also worldwide, namely in referencing patients to Palliative Care teams, as a communication facilitation tool or finding a prognosis. Aim: To validate psychometrically the Palliative Performance Scale to the Portuguese Population. Method: Methodological study of psychometric validation. The language validation has previously been made by another investigator, as an activity of the Observatório Português dos Cuidados Paliativos. The studied population was composed by palliative patients followed by a Hospital Palliative Care team, including inpatients and outpatients, in the moment of admission, or, posteriorly, in follow-up, in 2021. Through a process of non-probabilistic sequential sampling, the scale was applied to 105 palliative patients, each one by two observers. Results: By calculating the weighted kappa, the agreement between scores given by two observers for each patient was tested, accounting the magnitude order. The weighted kappa obtained was 0,85. Discussion and Conclusion: The weighted kappa value that was obtained shows good agreement between scores given by the observers evaluating palliative patients, namely in terms of order of magnitude, so it can be concluded that this scale ́s semantic validation for the Portuguese population has the adequate psychometric features.
Background: The Palliative Performance Scale is one of the most used tools in Portugal and also worldwide, namely in referencing patients to Palliative Care teams, as a communication facilitation tool or finding a prognosis. Aim: To validate psychometrically the Palliative Performance Scale to the Portuguese Population. Method: Methodological study of psychometric validation. The language validation has previously been made by another investigator, as an activity of the Observatório Português dos Cuidados Paliativos. The studied population was composed by palliative patients followed by a Hospital Palliative Care team, including inpatients and outpatients, in the moment of admission, or, posteriorly, in follow-up, in 2021. Through a process of non-probabilistic sequential sampling, the scale was applied to 105 palliative patients, each one by two observers. Results: By calculating the weighted kappa, the agreement between scores given by two observers for each patient was tested, accounting the magnitude order. The weighted kappa obtained was 0,85. Discussion and Conclusion: The weighted kappa value that was obtained shows good agreement between scores given by the observers evaluating palliative patients, namely in terms of order of magnitude, so it can be concluded that this scale ́s semantic validation for the Portuguese population has the adequate psychometric features.
Description
Keywords
Cuidados paliativos Estado funcional Avaliação Palliative care Performance status Assessment